Advanced Provider Credentialing & Revalidation Strategies

Are you looking to enhance your provider credentialing expertise? Do you manage providers’ CAQH profiles and enrollments across multiple payers? Is it time to conduct provider revalidations?

If you answered yes, this webinar is designed specifically for you!

Join Cati Harris, CBCS, a nationally certified credentialing, billing, and coding expert, as she guides you through a comprehensive, step-by-step approach to maintaining provider credentialing and revalidation compliance. This session will provide actionable strategies for managing CAQH, PECOS, NPPES, and payer enrollments while offering customizable tools and forms to streamline your processes.

Participants will gain practical skills to track provider documentation, verify credentials, complete application submissions, link providers to payers, and conduct revalidations efficiently, ensuring compliance and minimizing operational risks.

At the conclusion of this session, attendees will also have the opportunity to participate in a live Q&A session with Cati Harris.

Learning Objectives

By the end of this webinar, participants will be able to:

• Identify requirements for maintaining provider enrollment across payers.

• Effectively set up and maintain provider files.

• Manage and update CAQH, PECOS, and NPPES profiles accurately.

• Verify and validate provider credentials and documentation.

• Track provider documents systematically and efficiently.

• Understand payer-specific enrollment rules and requirements.

• Link providers to group contracts and ensure accurate revalidation.

• Apply best practices for credentialing, enrollment, and revalidation workflows.

• Track submitted revalidations and maintain compliance.

• Recognize common delays or flagged applications and resolve them proactively.

• Communicate effectively with providers regarding their enrollment status.

Areas Covered in This Session

• Comprehensive Provider Documentation Requirements

• Verification and validation processes for provider credentials

• Tracking and management of provider documentation

• Setup and maintenance of provider files

• Management of CAQH, PECOS, NPPES, and I&A profiles

• Maintaining and updating provider enrollments

• Conducting timely Provider Revalidations

• Payer enrollment and linkage processes

• Medicare/Medicaid enrollment compliance

• Efficient communication protocols

• Use of printable and customizable forms, letters, and tracking tools

• Live Q&A session for real-time guidance

Who Should Attend

This webinar is ideal for professionals responsible for provider enrollment and credentialing, including:

• Credentialing and Enrollment Specialists, Experts, and Leaders

• Administrative and Practice Management Teams

• Healthcare Billing Specialists

• Staff supporting NPI, CAQH, PECOS, or provider revalidation processes

• Clinic Managers, Office Managers, and Revenue Cycle Professionals

• Advanced Health Practitioners (MD, DO, NP, PA)

• Practice Owners, Operations Managers, and MSP Teams

• Coding, Claims, and Billing Personnel